Cardinal Care Managed Care

Overview

Virginia combined its two existing managed care programs – Commonwealth Coordinated Care Plus (CCC Plus) and Medallion 4.0 – into one unified managed care program known as Cardinal Care Managed Care (CCMC).

Cardinal Care Managed Care will continue to partner with the same MCOs that administer these programs and still cover the full scope of Medicaid managed care services.

Data resources for Cardinal Care Managed Care (CCMC), include:

HEDIS Dashboard: Virginia Medicaid Managed Care HEDIS Dashboard

Managed Care Organization (MCO) Service Authorization Performance Dashboard

MCO Financial Data: Year-to-date financial performance by MCO

MCO Expenditures Dashboard: Medicaid and FAMIS Managed Care Expenditures

HEDIS Dashboard

Virginia Medicaid Managed Care HEDIS Dashboard

MCO Service Authorization Performance Dashboard

MCO Service Authorization Performance for Virginia Medicaid members by DMAS approved providers

MCO Financials Data

Year-to-date financial performance by Managed Care Organization

MCO Expenditures Dashboard

Medicaid and FAMIS managed care healthcare expenditures

Cardinal Care Managed Care

Overview

Other Managed Care Data

MCO Financials & Reporting